title: [Ligation by total or partial exclusion and extra-anatomic bypass: an alternative to subrenal aneurysmectomy].
abstract: The present study was designed in order to analyze our experience in surgical treatment of 18 patients with abdominal aortic aneurysm associate to a high surgical risk from 1982 (January-February) to 1988, both included. Selection criteria and surgical technical aspects were established. The patient age ranged from 60 to 82, with an average age of 75 +/- 7.5 years. The most frequently associated pathology was hypertension disease, followed by cerebrovascular disease and ischemic cardiopathy. Two patients died during surgical procedure. Fifteen patients, from the 16 surviving, suffered a complete thrombosis of their aneurysmatic sac one week after the induced thrombosis, by the ligature of afferent arteries of their aneurysm (iliac arteries). Only one patient suffered a second operation, 4 months after the initial procedure (partial exclusion) during which a total exclusion of aneurysm by infrarenal aortic ligature was performed. The successful operatory rate was of 14/15 (93.3%), with a mortality rate of 2/18 (11.1%). References are reviewed and our results commented.
authors.affiliation: Instituto Nacional de Angiología y Cirugía Vascular, Ciudad de La Habana, Cuba.
authors.forename: L M
authors.initials: LM
authors.lastname: Ochoa Bizet
authors.forename: C
authors.initials: C
authors.lastname: Durán Llobera
authors.forename: O
authors.initials: O
authors.lastname: Oliú Torres
authors.forename: A
authors.initials: A
authors.lastname: Romero Valdés
authors.forename: F
authors.initials: F
authors.lastname: Perera González
authors.forename: O
authors.initials: O
authors.lastname: Ramírez Muñoz
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods; D001012:Aorta, Abdominal / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D014656:Vascular Surgical Procedures / Q000379:methods*
vernacular_title: Ligadura por exclusión total o parcial y puenteo extraanatómico: una alternativa de la aneurismectomía subrenal.